Chapter 513: Save the Master
Facing Du Bing who treated him like a big dish, Yu Zhiming did not indulge him but told this guy directly.
Dr. Ding Ye doesn't need his sacrifice.
Even if an unexpected situation occurs and he cannot go abroad for further studies, with Ding Ye's ability and the help of Dr. Liu Yun, it would be easy for him to transfer to the center to work.
Yu Zhiming also made it clear that since he was Ding Ye's friend and Ding Ye did not like Du Bing's pursuit, he would not recruit Du Bing as a medical assistant.
It is suggested that Du Bing continue to study in the UK.
Perhaps Yu Zhiming's reasons were too strong. After confirming that Dr. Liu Yun would transfer to the center, Du Bing left with a conflicted expression.
After this guy left, Yu Zhiming called Ding Ye and briefly explained what had just happened. He then asked, "What's wrong with Du Bing? He doesn't seem very smart."
Ding Ye sighed softly during the call, "Doctor Yu, this guy is actually quite smart, and his medical skills are among the best among young doctors. It's just that he was too well protected by his parents, and coupled with his strong sense of superiority, he developed a self-righteous and annoying personality."
"He's not a bad person, actually."
Yu Zhiming uttered an "oh" and jokingly said, "So, Du Bing is a high-potential stock."
"Why don't you think about taking him in, rehabilitating him, and perhaps gaining an obedient future famous doctor?"
Ding Ye chuckled lightly during the call and said, "I won't make myself look bad!"
"Doctor Yu, you don't know, his parents just want to find him a wife who's always centered around him..."
After lunch, Yu Zhiming hurried back to the center building, took out the thin blanket and pillow he had left in the locker, and hurried to the bed car parked in front of the building to take a nap...
He lay in the stretcher for a total of nineteen minutes.
For Yu Zhiming, who has difficulty falling asleep, this short time is not enough for him to fall asleep.
But after closing his eyes and resting for nineteen minutes, he felt refreshed and rejuvenated.
This made Yu Zhiming feel that even if the workload in the afternoon doubled, it would not be a big deal.
He opened the car door and got out, only to find Zhou Mo waiting outside.
"Zhou Mo, is there something wrong?"
Zhou Mo said softly, "A security guard came over to ask whose car this was and told us to drive away quickly."
This made Yu Zhiming realize that this was not a parking area and only vehicles transporting patients were allowed to park temporarily.
Zhou Mo's voice continued, "I'm worried that someone will come and disturb us, so I'll stay here."
After a pause, she continued, "Doctor Yu, you don't have to be too moved. This is the job of my assistant."
"Besides, I only stood there in the biting cold wind for seventeen minutes and forty-eight seconds. I wasn't tired or cold at all."
Yu Zhiming threw the car keys to Zhou Mo.
"Don't worry, I'm not moved."
"First, park your car in the teacher's parking space in the underground parking lot, then go to the logistics office to get a pass."
After giving his instructions, Yu Zhiming turned around and walked into the small building without hesitation.
Zhou Mo waved his fist towards his back...
Yu Zhiming's work schedule this afternoon can be said to be quite tight.
In addition to his original work, he also took over the follow-up treatment of some of the teacher's patients after the teacher took leave.
The busy schedule lasted until three o'clock in the afternoon, when Fu Xiaoxue's previous interview teacher and his family arrived on time.
A white couple in their forties and their three children, two boys and one girl.
After a thorough inspection, Yu Zhiming made two major discoveries.
First, they used a bronchoscope to remove a small piece of a baby tooth from the bronchus of their seven-year-old son, who often caught colds and fevers.
Second, he felt that the interviewer's heart was not in good condition.
Yu Zhiming learned that as a financial practitioner in London, this teacher stayed up late to watch the market and analyze data all night long, which was his normal job.
Yu Zhiming solemnly warned him that he must maintain a regular schedule, avoid staying up late, exercise appropriately, and eat healthily.
If he continues like this, he will have serious heart problems in the next year and may even go on strike.
After Yu Zhiming saw the British family off, he also received Christmas gifts from them.
A box of English black tea, a box of chocolates, and a set of silver cutlery.
At 6:10 in the evening, Yu Zhiming rushed to complete the breast cancer screening of 50 volunteers.
Afterwards, he didn't have time to eat dinner, but just ate a few pieces of chocolate and biscuits to fill his stomach on the way to the general surgery department.
When he arrived at the general surgery department, Yu Zhiming met up with Dr. Cui Zhitan and they went together to prepare for the operation.
As for the patient, embroiderer Lu Qiu, she had already been prepared and sent to the operating room.
Just as the two of them entered the surgical isolation area, they were suddenly stopped by Zhou Mo's voice.
"Doctor Cui, Doctor Yu, please wait a moment."
Yu Zhiming stopped and saw Zhou Mo, Zhou Mo's mother, and three others walking towards him quickly.
When they came closer, Zhou Mo spoke first, "Doctor Yu, these three are Aunt Lu's husband, daughter, and son-in-law."
Yu Zhiming met the gaze of Lu Qiu's husband.
This is a man in his fifties, tall and thin, with an honest look on his face.
Yu Zhiming frowned and asked, "Is there something wrong?"
Lu Qiu's husband quickly waved his hand and said, "Nothing has happened, Doctor Yu, nothing has happened."
"Doctor Yu, I just want to say..."
After a pause, Lu Qiu's husband raised his voice and said solemnly, "Doctor Cui, Doctor Yu, if you find that the pregnancy is very risky during the operation, it will seriously affect my wife's recovery..."
"You can just decide to end the pregnancy. In short, everything is based on saving the adult."
Yu Zhiming didn't like to hear this.
In order to save the child, only surgery without radiotherapy will definitely put the patient at a certain risk of cancer recurrence.
What Yu Zhiming and Cui Zhitan need to do is to reduce the possibility of cancer recurrence as much as possible.
Now that the time has come, you, with your deep love for your spouse, suddenly say that everything must be done on the premise of saving the adults.
Why didn't you persuade your wife to end the pregnancy from the beginning and do everything you can to avoid the recurrence of cancer?
This repetition and ambiguity makes it difficult for doctors.
After all, the so-called risk of cancer recurrence is really difficult to define and quantify.
Even if there is only a one percent chance of recurrence, it is still possible that it will come true, which is extremely unlucky.
At that time, will you blame the doctor for not making the correct risk assessment during the operation?
Cui Zhitan noticed the change in Yu Zhiming's expression and quickly took over the conversation.
"Ms. Lu had a lumbar epidural anesthesia and will remain conscious throughout the operation."
During the early stages of pregnancy, pregnant women should avoid anesthesia as much as possible unless necessary.
The fetus is too weak and sensitive, and anesthesia will have more or less impact on the fetus's development.
The extent of the impact of anesthesia on fetal development is related to the method of anesthesia.
Relatively speaking, local anesthesia or spinal anesthesia has less impact on pregnancy.
This is because local anesthetics or spinal anesthetics do not circulate through the blood and have little effect on fetal brain development.
If intravenous or general anesthesia is used during pregnancy, there is a significant possibility that it will affect the health of the fetus and be detrimental to the pregnancy.
During general anesthesia or intravenous anesthesia, the anesthetic will directly affect the development of the fetal brain through the blood circulation.
In order to reduce the impact of anesthesia on the fetus in Lu Qiu's womb, Cui Zhitan did not use the anesthesiologist he usually works with for this operation. Instead, he specially invited a senior anesthesiologist who is proficient in gynecological anesthesia.
Cui Zhitan said loudly, "Everyone, if during the operation we discover something that wasn't detected during the previous examination, and the surgical plan must be changed, we will first consult Ms. Lu before making a decision."
His words were meant to clearly tell the people in front of him.
If there are no unexpected situations during the operation, the operation will be carried out strictly according to the previously formulated surgical plan.
If a special situation really occurs, the opinion of Lu Qiu, the person involved in the operation, will be the main basis.
Of course, if a major accident occurred during the operation, causing Lu Qiu to fall into a coma and be in critical condition, the family's opinion must be sought.
After Cui Zhitan responded, he took Yu Zhiming and turned into the operating area.
After the two of them prepared and worked hard, Lu Qiu's operation went on as planned.
With Yu Zhiming's exploratory skills and Dr. Cui's rich clinical experience, and the fact that Lu Qiu's condition was not complicated, no abnormalities were found after the laparotomy.
The operation was carried out according to the established plan.
Yu Zhiming first determined the range of resection of colon cancerous tissue by feel.
Then, he used his hands to carefully and gently feel the lymph nodes around the cancerous area one by one.
This is the most critical part of the operation. The lymph nodes containing cancerous cells must be completely removed.
Lymph node dissection is a routine surgical procedure for tumor resection in clinical practice.
Lymph node dissection may have some sequelae.
One is lymphatic leakage.
This is mostly due to excessive lymph node clearance, which leads to local leakage of lymphatic vessels. Symptoms such as obvious limb swelling and incision exudation may occur after the operation.
The second is the spread of tumor cells.
Local stimulation during lymph node clearance may cause cancer cells to metastasize and invade along the lymph nodes and lymphatic vessels.
Therefore, during the lymph node clearance process, you must be gentle and remove the lymph nodes in large pieces to avoid the metastasis and spread of cancer cells as much as possible.
Third, the clearance of lymph nodes will cause the surgical wound to become larger, and more fluid or blood may accumulate locally after the operation, which will significantly increase the local infection rate.
Yu Zhiming used his gentle perception to mark the lymph nodes that he felt needed to be cleared one by one.
He then assisted Dr. Cui in the operation.
This operation was a piece of cake for the experienced Cui Zhitan.
It took only one hour to complete!
Yu Zhiming was in a hurry to go home for dinner so that he could examine Pan Yao, the owner of the cosmetics store who had come at nine o'clock in the evening. So he said goodbye and left the operating room without waiting for the final suture to be completed.
After he changed his clothes and left the operating room, he was surrounded by Lu Qiu's family.
"The operation went smoothly. You will be able to see me in person in half an hour at most."
Yu Zhiming briefly explained this and then turned his gaze to Zhou Mo, who was smiling and holding a large bouquet of lilies...
The man beside her.
This was a young man about the same age and height as Yu Zhiming, but he looked much stronger than him.
As for his facial features, Yu Zhiming thought that they were at least three or four points less handsome than himself.
However, Yu Zhiming vaguely felt that this person looked familiar.
"Doctor Yu, let me introduce you."
"This is the director's son, Qi Zhen. He just returned to Binhai from abroad today..."
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(End of this chapter)
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